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Revista National Geographic i kushton dhimbjes numrin e par\u00eb t\u00eb vitit 2020. Gjithnj\u00eb e m\u00eb shum\u00eb revista shkencore t\u00eb njohura n\u00eb 1-2 vitet e fundit kan\u00eb si tem\u00eb sindromat e dhimbjes kronike. N\u00eb fakt, n\u00eb TV dhe radio kan\u00eb filluar t\u00eb shfaqen spote p\u00ebr migren\u00ebn. Shoqatat e pacient\u00ebve me sindroma t\u00eb dhimbjes kronike po rriten, si dhe ndikimi i tyre n\u00eb udh\u00ebzimet mjek\u00ebsore t\u00eb kompanive mjek\u00ebsore dhe n\u00eb komisionet vendimmarr\u00ebse t\u00eb agjencive t\u00eb sigurimit dhe qeveris\u00eb zyrtare n\u00eb lidhje me politikat sh\u00ebndet\u00ebsore. \u00cbsht\u00eb apo jo kuptimi im q\u00eb vitet e fundit \u201cdhimbja\u201d, nga nj\u00eb eksperienc\u00eb e padukshme vetmie e kthen n\u00eb qend\u00ebr t\u00eb v\u00ebmendjes dhe fillon t\u00eb k\u00ebrkoj\u00eb nd\u00ebrgjegj\u00ebsim nga publiku dhe shteti si kusht i nj\u00eb pjese t\u00eb madhe t\u00eb shoq\u00ebris\u00eb? Edhe pse e padukshme, duke ndikuar n\u00eb cil\u00ebsin\u00eb e jet\u00ebs s\u00eb pacient\u00ebve. N\u00eb fund t\u00eb fundit, Organizata Bot\u00ebrore e Sh\u00ebndet\u00ebsis\u00eb (OBSH), n\u00eb listat q\u00eb b\u00ebn dhe tregon shkaqet e paaft\u00ebsis\u00eb p\u00ebr shkak t\u00eb s\u00ebmundjes, sindromat e dhimbjes jan\u00eb vazhdimisht n\u00eb dhjet\u00eb vendet e para. Pothuajse e nj\u00ebjta gj\u00eb vlen edhe p\u00ebr listat e parakaluara nga shkaqet p\u00ebr vitet e humbura t\u00eb jet\u00ebs (viti i jet\u00ebs s\u00eb p\u00ebrshtatur me aft\u00ebsin\u00eb e kufizuar - DALY).<\/p>\n\n\n\n
Ne e dim\u00eb gjithashtu nga nj\u00eb studim i madh pan-evropian i botuar n\u00eb 2006 se 19% e t\u00eb rriturve t\u00eb BE-s\u00eb vuajn\u00eb nga nj\u00eb sindrom\u00eb dhimbjeje kronike e moderuar ose e r\u00ebnd\u00eb, cilado qoft\u00eb ajo (dhimbje kronike e shpin\u00ebs, dhimbje koke, s\u00ebmundje autoimune, s\u00ebmundje malinje, dhimbje post-traumatike, etj. ., etj.). N\u00eb fakt, gjysma e atyre q\u00eb kan\u00eb vuajtur, konsiderojn\u00eb se dhimbja e tyre nuk trajtohet n\u00eb m\u00ebnyr\u00eb efektive. N\u00ebse llogarisim mes tyre se 10-14% vuajn\u00eb nga migrena episodike dhe 0.5 deri n\u00eb 2% nga migrena kronike ka shum\u00eb t\u00eb ngjar\u00eb q\u00eb shum\u00eb pacient\u00eb t\u00eb vuajn\u00eb nga dy vendndodhje dhimbjeje ose dhimbje kronike. Dhe me t\u00eb v\u00ebrtet\u00eb rishikimet epidemiologjike t\u00eb fundit (2019) kan\u00eb treguar se ekziston nj\u00eb lidhje midis dhimbjes s\u00eb nervit shiatik (dhimbje "n\u00eb mes") dhe migren\u00ebs. N\u00eb m\u00ebnyr\u00eb indikative n\u00eb nj\u00eb studim t\u00eb 1034 pacient\u00ebve q\u00eb vuanin nga dhimbja e shpin\u00ebs n\u00eb vitin e kaluar, 40% gjithashtu vuante nga migrena. P\u00ebr m\u00eb tep\u00ebr, n\u00eb nj\u00eb kampion prej 5605 pacient\u00ebsh me migren\u00eb, 761 TP3T t\u00eb pacient\u00ebve me migren\u00eb episodike gjithashtu vuanin nga dhimbje shpine, nd\u00ebrsa 881 TP3T nga ata me migren\u00eb kronike gjithashtu vuanin nga dhimbje shpine (!!). \u00cbsht\u00eb e pamohueshme q\u00eb po flasim p\u00ebr shum\u00eb dhimbje!<\/p>\n\n\n\n
Dy \u00e7\u00ebshtje dalin. E para \u00ebsht\u00eb se dhimbja v\u00ebrtet njihet nga shoq\u00ebria dhe shteti si nj\u00eb plag\u00eb e padukshme q\u00eb ul cil\u00ebsin\u00eb e jet\u00ebs s\u00eb nj\u00eb p\u00ebrqindjeje t\u00eb madhe t\u00eb popullsis\u00eb s\u00eb bot\u00ebs dhe \u00ebsht\u00eb p\u00ebrgjegj\u00ebse p\u00ebr nj\u00eb pjes\u00eb t\u00eb paaft\u00ebsis\u00eb dhe viteve t\u00eb humbura t\u00eb jet\u00ebs. Informacioni publik duhet t\u00eb vazhdoj\u00eb. Por edhe informimi i vet\u00eb t\u00eb s\u00ebmur\u00ebve duhet t\u00eb vazhdoj\u00eb. P\u00ebr t\u00eb kuptuar problemin e tyre, p\u00ebr ta integruar at\u00eb dhe p\u00ebr t\u00eb ndjer\u00eb se ka njer\u00ebz q\u00eb vuajn\u00eb nga i nj\u00ebjti problem. Duhet t\u00eb vazhdoj\u00eb edhe informimi i t\u00eb gjith\u00eb mjek\u00ebve, pavar\u00ebsisht nga specialiteti i tyre. Pse kjo \u00ebsht\u00eb kaq e r\u00ebnd\u00ebsishme, do t\u00eb kthehemi n\u00eb paragrafin tjet\u00ebr. Dhe sigurisht nd\u00ebrgjegj\u00ebsimi i shtetit, njohja e problemit dhe p\u00ebrfshirja e tij n\u00eb s\u00ebmundjet e zakonshme. N\u00eb Danimark\u00eb u japin pensione pacient\u00ebve me migren\u00eb t\u00eb r\u00ebnd\u00eb kronike... N\u00eb t\u00eb gjitha sa m\u00eb sip\u00ebr, nj\u00eb rol t\u00eb r\u00ebnd\u00ebsish\u00ebm duhet t\u00eb luajn\u00eb edhe shoqatat, shoqatat e pacient\u00ebve q\u00eb vuajn\u00eb nga nj\u00eb form\u00eb dhimbjeje. Nuk \u00ebsht\u00eb rast\u00ebsi q\u00eb shoqata t\u00eb tilla tani ekzistojn\u00eb nd\u00ebrkomb\u00ebtarisht dhe se z\u00ebri dhe fuqia e tyre po rritet.<\/p>\n\n\n\n
\u00c7\u00ebshtja e dyt\u00eb \u00ebsht\u00eb t\u00eb menaxhosh kaq shum\u00eb dhimbje. Dim\u00eb q\u00eb nj\u00eb pjes\u00eb e madhe e trajtimit t\u00eb dhimbjes b\u00ebhet n\u00eb kuadrin e sh\u00ebndetit par\u00ebsor nga mjeku i p\u00ebrgjithsh\u00ebm ose nga patologu ose ortopedi ose n\u00eb kushtet e detyr\u00ebs s\u00eb p\u00ebrgjithshme t\u00eb nj\u00eb spitali apo klinika. Zakonisht trajtimi \u00ebsht\u00eb thjesht simptomatik (trajtimi jepet p\u00ebr t\u00eb kaluar p\u00ebr at\u00eb moment dhimbjen). Kjo \u00e7on n\u00eb trajtimin jo parandalues t\u00eb dhimbjes, abuzimin me ila\u00e7et kund\u00ebr dhimbjeve dhe fatkeq\u00ebsisht shum\u00eb her\u00eb var\u00ebsin\u00eb ndaj ila\u00e7eve kund\u00ebr dhimbjeve. N\u00eb SHBA ekziston e ashtuquajtura "epidemi opiate" dhe miliona jan\u00eb t\u00eb varur nga ky lloj qet\u00ebsuesish. N\u00eb dhom\u00ebn e urgjenc\u00ebs n\u00eb SHBA, m\u00eb shum\u00eb gjasa p\u00ebr t'u dh\u00ebn\u00eb p\u00ebr dhimbje \u00ebsht\u00eb nj\u00eb ila\u00e7 opioid, nd\u00ebrsa udh\u00ebzimet jan\u00eb rrept\u00ebsisht e kund\u00ebrta. Tashm\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb urgjente trajtimi i \u00e7do lloj dhimbjeje nga nj\u00eb mjek specialist ose nj\u00eb ekip mjek\u00ebsh dhe specialitete t\u00eb tjera. Nuk \u00ebsht\u00eb e nj\u00ebjta dhimbje n\u00eb dhimbjen e shpin\u00ebs, fibromialgji, metastaza kanceri, migren\u00eb, s\u00ebmundje autoimune, dhimbje t\u00eb neuropatis\u00eb diabetike ose dhimbje kronike post-traumatike. Do t\u00eb k\u00ebrkoj\u00eb trajtim t\u00eb ndrysh\u00ebm parandalues dhe simptomatik nga nj\u00eb specialitet i ndrysh\u00ebm mjek\u00ebsor \u00e7do her\u00eb. Dikush mund t\u00eb argumentoj\u00eb se kjo \u00e7on n\u00eb mbi-specializimin e mjek\u00ebsis\u00eb dhe k\u00ebshtu pik\u00ebpamja holistike e problemit humbet. Nuk \u00ebsht\u00eb k\u00ebshtu sepse n\u00eb nj\u00eb m\u00ebnyr\u00eb apo tjet\u00ebr flasim p\u00ebr nj\u00eb p\u00ebrpjekje ekipore t\u00eb specialiteteve t\u00eb ndryshme, por edhe dhimbje t\u00eb ve\u00e7anta k\u00ebrkon nj\u00eb trajtim shum\u00eb t\u00eb ve\u00e7ant\u00eb: kur na dhemb dh\u00ebmbi shkojm\u00eb te dentisti dhe s\u00eb dyti \u00ebsht\u00eb me interes nj\u00eb qasje m\u00eb holistike. Pra, nga p\u00ebrvoja duket se as klinikat e p\u00ebrgjithshme t\u00eb dhimbjes q\u00eb ekzistojn\u00eb nuk mund t\u00eb japin zgjidhje n\u00eb shum\u00eb raste. Ndoshta duhet t\u00eb ket\u00eb klinika p\u00ebr dhimbjen e shpin\u00ebs, klinika p\u00ebr dhimbje koke, klinika kund\u00ebr kancerit, etj., etj. Pra, \u00ebsht\u00eb e kuptueshme q\u00eb menaxhimi i duhur i dhimbjes \u00ebsht\u00eb po aq i r\u00ebnd\u00ebsish\u00ebm sa vet\u00ebdija p\u00ebr specifik\u00ebn e saj.<\/p>\n\n\n\n
S\u00eb fundi, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb ila\u00e7e t\u00eb reja, efektive pa efekte an\u00ebsore t\u00eb ve\u00e7anta t\u00eb jen\u00eb tani n\u00eb dispozicion p\u00ebr t\u00eb trajtuar dhimbjen. K\u00ebrkimi shkencor, i cili n\u00eb t\u00eb v\u00ebrtet\u00eb \u00ebsht\u00eb i mb\u00ebshtetur n\u00eb nj\u00eb mas\u00eb shum\u00eb t\u00eb madhe nga kompanit\u00eb farmaceutike shum\u00ebkomb\u00ebshe, na siguron dhe do t\u00eb na siguroj\u00eb n\u00eb t\u00eb ardhmen k\u00ebto barna pas studimeve t\u00eb mir\u00ebplanifikuara t\u00eb kryera nj\u00ebkoh\u00ebsisht n\u00eb vende t\u00eb ndryshme t\u00eb bot\u00ebs. Pra, dhimbja, kjo epidemi e padukshme q\u00eb i vjedh dit\u00ebt e jet\u00ebs, \u00ebsht\u00eb futur pik\u00ebrisht n\u00eb pist\u00ebn e shkenc\u00ebs n\u00eb kuptimin q\u00eb shkenca duhet t'i sh\u00ebrbej\u00eb njer\u00ebzimit dhe nuk mund t\u00eb injoroj\u00eb at\u00eb pjes\u00eb t\u00eb madhe t\u00eb saj q\u00eb vuan. Koh\u00eb t\u00eb dhimbshme, por koh\u00ebt po ndryshojn\u00eb\u2026<\/p>","protected":false},"excerpt":{"rendered":"
\u03a4\u03bf \u03c0\u03b5\u03c1\u03b9\u03bf\u03b4\u03b9\u03ba\u03cc National Geographic \u03b1\u03c6\u03b9\u03b5\u03c1\u03ce\u03bd\u03b5\u03b9 \u03c4\u03bf \u03c0\u03c1\u03ce\u03c4\u03bf \u03c4\u03b5\u03cd\u03c7\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf 2020 \u03c3\u03c4\u03bf\u03bd \u03c0\u03cc\u03bd\u03bf. \u038c\u03bb\u03bf \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03b1 \u03b5\u03ba\u03bb\u03b1\u03ca\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03b1 \u03b5\u03c0\u03b9\u03c3\u03c4\u03b7\u03bc\u03bf\u03bd\u03b9\u03ba\u03ac \u03c0\u03b5\u03c1\u03b9\u03bf\u03b4\u03b9\u03ba\u03ac \u03c4\u03b1 \u03c4\u03b5\u03bb\u03b5\u03c5\u03c4\u03b1\u03af\u03b1 1-2 \u03ad\u03c4\u03b7 \u03ad\u03c7\u03bf\u03c5\u03bd \u03c9\u03c2 \u03b8\u03b5\u03bc\u03b1\u03c4\u03bf\u03bb\u03bf\u03b3\u03af\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03b1 \u03c0\u03cc\u03bd\u03bf\u03c5. \u0393\u03b9\u03b1 \u03c4\u03b7\u03bd \u03b7\u03bc\u03b9\u03ba\u03c1\u03b1\u03bd\u03af\u03b1 \u03bc\u03ac\u03bb\u03b9\u03c3\u03c4\u03b1 \u03ad\u03c7\u03bf\u03c5\u03bd \u03b1\u03c1\u03c7\u03af\u03c3\u03b5\u03b9 \u03bd\u03b1 \u03b5\u03bc\u03c6\u03b1\u03bd\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c3\u03c0\u03bf\u03c4\u03ac\u03ba\u03b9\u03b1 \u03c3\u03c4\u03b7 \u03c4\u03b7\u03bb\u03b5\u03cc\u03c1\u03b1\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03c4\u03bf \u03c1\u03b1\u03b4\u03b9\u03cc\u03c6\u03c9\u03bd\u03bf. \u039f\u03b9 \u03c3\u03cd\u03bb\u03bb\u03bf\u03b3\u03bf\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03bc\u03b5 \u03c3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03bf\u03c5 \u03c0\u03cc\u03bd\u03bf\u03c5 \u03b1\u03c5\u03be\u03ac\u03bd\u03bf\u03c5\u03bd \u03cc\u03c0\u03c9\u03c2 \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03b7 \u03b5\u03c0\u03b9\u03c1\u03c1\u03bf\u03ae \u03c4\u03bf\u03c5\u03c2 […]<\/p>","protected":false},"author":3,"featured_media":2558,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[42,41,40,33,46,48],"class_list":["post-2557","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-52","tag-42","tag-41","tag-40","tag-33","tag-46","tag-48"],"_links":{"self":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/comments?post=2557"}],"version-history":[{"count":2,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2557\/revisions"}],"predecessor-version":[{"id":3056,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/posts\/2557\/revisions\/3056"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media\/2558"}],"wp:attachment":[{"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/media?parent=2557"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/categories?post=2557"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dermitzaki.gr\/sq\/wp-json\/wp\/v2\/tags?post=2557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}